Biblioteca Hospital 12 de Octubre

The Subaxial Cervical Spine Injury Classification System: an external agreement validation study. (Registro nro. 1901)

000 -CABECERA
Campo de control de longitud fija 03331na a2200337 4500
003 - IDENTIFICADOR DEL NÚMERO DE CONTROL
Campo de control PC1901
005 - FECHA Y HORA DE LA ÚLTIMA TRANSACCIÓN
Campo de control 20190820134629.0
008 - CÓDIGOS DE INFORMACIÓN DE LONGITUD FIJA
Campo de control de longitud fija 130622s2013 xxx||||| |||| 00| 0 eng d
040 ## - FUENTE DE LA CATALOGACIÓN
Centro transcriptor H12O
041 ## - CÓDIGO DE LENGUA
Código de lengua del texto/banda sonora o título independiente eng
100 ## - PUNTO DE ACCESO PRINCIPAL - NOMBRE DE PERSONA
Nombre de persona Guimera García, Vicente
9 (RLIN) 1985
Término indicativo de función Cirugía Ortopédica y Traumatología
245 04 - MENCIÓN DE TÍTULO
Título The Subaxial Cervical Spine Injury Classification System: an external agreement validation study.
Tipo de material [artículo]
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Nombre del editor distribuidor etc. Spine Journal,
Fecha de publicación distribución etc. 2013
300 ## - DESCRIPCIÓN FÍSICA
Extensión 13(9):1055-63.
500 ## - NOTA GENERAL
Nota general Formato Vancouver:
Van Middendorp JJ, Audigé L, Bartels RH, Bolger C, Deverall H, Dhoke P et al. The Subaxial Cervical Spine Injury Classification System: an external agreement validation study. Spine J. 2013 Sep;13(9):1055-63.
501 ## - NOTA DE “CON”
Nota de "Con" PMID: 23541887
504 ## - NOTA DE BIBLIOGRAFÍA; ETC.
Nota de bibliografía etc. Contiene 23 referencias
520 ## - NOTA DE SUMARIO; ETC.
Sumario etc. In 2007, the Subaxial Cervical Spine Injury Classification (SLIC) system was introduced demonstrating moderate reliability in an internal validation study. PURPOSE: To assess the agreement on the SLIC system using clinical data from a spinal trauma population and whether the SLIC treatment algorithm outcome improved agreement on treatment decisions among surgeons. STUDY DESIGN: An external classification validation study. PATIENT SAMPLE: Twelve spinal surgeons (five consultants and seven fellows) assessed 51 randomly selected cases. OUTCOME MEASURES: Raw agreement, Fleiss kappa, and intraclass correlation coefficient statistics were used for reliability analysis. Majority rules and latent class modeling were used for accuracy analysis. METHODS: Fifty-one randomly selected cases with significant injuries of the cervical spine from a prospective consecutive series of trauma patients were assessed using the SLIC system. Neurologic details, plain radiographs, and computed tomography scans were available for all cases as well as magnetic resonance imaging in 21 cases (41%). No funds were received in support of this study. The authors have no conflict of interest in the subject of this article. RESULTS: The inter-rater agreement on the most severely affected level of injury was strong (kappa=0.76). The agreement on the morphologic injury characteristics was poor (kappa=0.29) and agreement on the integrity of the discoligamentous complex was average (kappa=0.46). The inter-rater agreement on the treatment verdict after the total SLIC injury severity score was slightly lower than the surgeons' agreement on personal treatment preference (kappa=0.55 vs. kappa=0.63). Latent class analysis was not converging and did not present accurate estimations of the true classification categories. Based on these findings, no second survey for testing intrarater agreement was performed. CONCLUSIONS: We found poor agreement on the morphologic injury characteristics of the SLIC system, and its treatment algorithm showed no improved agreement on treatment decisions among surgeons. The authors discuss that the reproducibility of the SLIC system is likely to improve when unambiguous true morphologic injury characteristics are being implemented.
710 ## - PUNTO DE ACCESO ADICIONAL - NOMBRE DE ENTIDAD
9 (RLIN) 371
Nombre de entidad o nombre de jurisdicción como elemento inicial Servicio de Cirugía Ortopédica y Traumatología
856 ## - LOCALIZACIÓN Y ACCESO ELECTRÓNICOS
Identificador Uniforme del Recurso (URI) http://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc1901.pdf
Acceso Solicitar documento
942 ## - ENTRADA PARA ELEMENTOS AGREGADOS (KOHA)
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